NPIMap

Organization Active NPI

Blessed Assurance Nursing and in Home Services Inc.

  • In Home Supportive Care Agency
  • Winston, GA
National Provider Identifier
1851781124
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
048R1053 Issued in GA
Legal business name
BLESSED ASSURANCE NURSING AND IN HOME SERVICES INC.
Practice address
3329 Franklin Forest Dr
Winston, GA 30187-2108
Phone
(404) 717-7014
Fax
(770) 577-3162
NPI assigned
Jan 26, 2015
Last updated
Jan 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sylvanus Amanze Anuforo, RNNPI 1346630662
Title
Ceo
Phone
(404) 717-7014

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 048R1053 GA Primary

Addresses

Primary practice location

3329 Franklin Forest Dr
Winston, GA 30187-2108

Mailing address

3329 Franklin Forest Dr
Winston, GA 30187-2108
Phone (404) 717-7014

Other identifiers 2

IdentifierTypeStateIssuer
003151265AMedicaidGA
003151263AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Blessed Assurance Nursing and in Home Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1851781124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3329 FRANKLIN FOREST DR",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "301872108",
            "telephone_number": "404-717-7014",
            "fax_number": "770-577-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 FRANKLIN FOREST DR",
            "city": "WINSTON",
            "state": "GA",
            "postal_code": "301872108",
            "telephone_number": "404-717-7014",
            "fax_number": "770-577-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED ASSURANCE NURSING AND IN HOME SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "ANUFORO",
        "authorized_official_first_name": "SYLVANUS",
        "authorized_official_middle_name": "AMANZE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-717-7014",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "048R1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003151265A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003151263A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.